MR. MATTHEW BUSSARD (NPI# 1811127624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811127624 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BUSSARD |
| Credential | EMT-PARAMEDIC |
| Practice Address |
602 Ash St Beech Grove IN 46107-2032 |
| Practice Telephone | 3173394505 |
| Practice Fax Number | 3177872802 |
| Mailing Telephone | 3173394505 |
| Mailing Fax Number | 3177872802 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 49-51970 | IN | Emergency Medical Service Providers |
| Street Address |
602 ASH ST |
| City | BEECH GROVE |
| State | IN |
| Zip Code | 46107-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669757464 | Lisa Katherine Mabie | Pharmacist | 1808 N Albany St, Beech Grove, IN 46107 | 2011-10-13 |
| 1275797847 | Kay Lynn Kolthoff | Registered Nurse | 1600 Albany Street, Beech Grove, IN 46107 | 2008-07-14 |
| 1699802439 | James Michael Souers | Dentist | 4140 S Emerson Ave, Beech Grove, IN 46107 | 2007-02-28 |
| 1871605055 | St Paul Hermitage Home | Nursing Facility/Intermediate Care Facility | 501 N 17th Avenue, Beech Grove, IN 46107 | 2006-08-31 |
| 1013931989 | David E. Crook | Anesthesiology | 1600 N. Albany St, Indianapolis, IN 46107 | 2006-07-26 |
| 1063409456 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2002 Albany St, Beech Grove, IN 46107 | 2005-09-30 |
| 1629075429 | Victoria Ann Othersen | Family Medicine | 2030 Churchman Ave # A, Beech Grove, IN 46107 | 2005-07-07 |
| 1215548144 | Grace Connelly | Speech-Language Pathologist | 501 N 17th Ave, Beech Grove, IN 46107 | 2020-08-13 |
| 1780995969 | Sharon Sue Taylor | Nurse Practitioner | 2030 Churchman Ave Ste A, Beech Grove, IN 46107-1044 | 2010-06-23 |
| 1124012729 | Claudet C Smith | Internal Medicine | 2030 Churchman Ave, Beech Grove, IN 46107-1044 | 2005-09-09 |
| Find all providers in zip 46107 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932380797 | David Todd Reighter | Emergency Medical Technician, Paramedic | 1405 Willow Dr, Auburn, IN 46706-3215 | 2007-11-21 |
| 1669788428 | Believe Midwifery Services, LLC | Emergency Medical Technician, Paramedic | 118 W Main St, Thorntown, IN 46071-1128 | 2010-08-30 |
| 1023016607 | Kenneth Byerly | Emergency Medical Technician, Paramedic | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2005-07-08 |
| City | BEECH GROVE |
| Zip Code | 46107 |
Please comment or provide details below to improve the information on MR. MATTHEW BUSSARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.